NPI | 1962780080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME132650) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME132650) |
208000000X Pediatrics (Licence: MA 251419) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101274180) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 251419) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 33614) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-07-22 |
Last Update Date | 2024-05-09 |